Connections First, Llc | |
2250 Nw Flanders St Ste 201 Portland OR 97210-5410 | |
(503) 750-1859 | |
(503) 296-2901 |
Full Name | Connections First, Llc |
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Speciality | Clinic/Center |
Location | 2250 Nw Flanders St Ste 201, Portland, Oregon |
Authorized Official Name and Position | David Anthony Ryan (PSYCHOTHERAPIST/COFOUNDER) |
Authorized Official Contact | 5037501859 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Connections First, Llc 2250 Nw Flanders St Ste 201 Portland OR 97210-5410 Ph: (503) 750-1859 | Connections First, Llc 2250 Nw Flanders St Ste 201 Portland OR 97210-5410 Ph: (503) 750-1859 |
NPI Number | 1528420692 |
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Provider Enumeration Date | 03/28/2016 |
Last Update Date | 07/17/2020 |
Certification Date | 07/17/2020 |
Medicare PECOS PAC ID | 6800187410 |
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Medicare Enrollment ID | O20160628002442 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528420692 | NPI | - | NPPES |
1500706950 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Slavica Kojadinovic |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174756571 PECOS PAC ID: 4981996006 Enrollment ID: I20180209001185 |
Provider Name | David A Ryan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114286705 PECOS PAC ID: 2163714288 Enrollment ID: I20180209001287 |
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